Home antipyretic use in children brought to the emergency department

M A McErlean1, J M Bartfield, D A Kennedy

  • 1Department of Emergency Medicine, Albany Medical Center, Albany, New York 12208, USA. mcerlem@mail.amc.edu

Insights

Many children receiving antipyretics for fever at home are not given the correct dose. Demographic factors did not predict proper dosing in this study of pediatric fever management.

Area of Science:

  • Pediatrics
  • Pharmacology

Background:

  • Fever is a common symptom in children, often managed at home with antipyretics.
  • Accurate dosing of antipyretics is crucial for effective fever reduction and safety.

Purpose of the Study:

  • To assess the frequency of correct antipyretic dosing in children with fever managed at home.
  • To investigate if demographic factors are associated with proper antipyretic dosing.

Main Methods:

  • A prospective, descriptive study involving 138 children aged 3 to 36 months presenting with fever.
  • Caregiver interviews collected data on demographics and antipyretic administration.
  • Statistical analysis, including regression modeling, examined predictors of proper dosing.

Main Results:

  • Of children receiving antipyretics at home (86%), only 47% received the correct dose.
  • No demographic variable was found to predict correct antipyretic dosing.
  • Home antipyretic dosing did not correlate with fever presence or temperature in the emergency department.

Conclusions:

  • A significant proportion of children receive incorrect antipyretic doses at home.
  • Demographic factors do not appear to influence correct antipyretic dosing practices.
  • Further research is needed to understand and improve home antipyretic administration.
Abstract

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